3 health deficiencies
Top issue: Environmental (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Rockaway Park, NY
3-star overall rating with 3-star inspections with $12,463 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
128 Beach 115th Street, Rockaway Park, NY
(718) 474-6400
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
0 / 5
Resident outcomes and process measures
Quick facts
Beds
196
Certified beds
Average residents
191
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.39
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.60
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.21
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.19
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
0.99
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.88
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.23
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
3.35
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
8,884
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.38
Composite VBP score used to determine payment impact.
Payment multiplier
0.9838
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
2.69
Baseline 7.66% · Performance 7.03% · Measure score 2.69 · Achievement 2.69 · Improvement 1.87
Total nurse turnover
4.93
Performance 43.55% · Measure score 4.93 · Achievement 4.93 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Baseline 3.06 hours · Performance 3.07 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.72% |
10.72%
2 pts worse
|
No Different than the National Rate · Eligible stays 54 · Observed rate 20.37% · Lower 95% interval 8.78% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.49 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 32 · Denominator 32 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 32 |
| Discharge self-care score | 19.23% |
53.69%
34.5 pts worse
|
Numerator 5 · Denominator 26 |
| Discharge mobility score | 38.46% |
50.94%
12.5 pts worse
|
Numerator 10 · Denominator 26 |
| Pressure ulcers or injuries, new or worsened | 3.13% |
2.29%
0.8 pts worse
|
Numerator 1 · Denominator 32 · Adjusted rate 2.37% |
| Healthcare-associated infections requiring hospitalization | 7.03% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 27 · Observed rate 7.41% · Lower 95% interval 3.44% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 221 |
| Staff flu vaccination coverage | 30.28% |
42%
11.7 pts worse
|
Numerator 76 · Denominator 251 |
| Discharge function score | 46.15% |
56.45%
10.3 pts worse
|
Numerator 12 · Denominator 26 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.7
0.4 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.0 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.8 |
1.3
1.5 pts worse
|
1.8
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.7 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 77.1% |
91.2%
14.1 pts worse
|
93.4%
16.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 84.2% · Q2 79.7% · Q3 74.2% · Q4 71.2% · 4Q avg 77.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.5% |
95.3%
4.8 pts worse
|
95.5%
5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.3% |
3.0%
1.7 pts better
|
3.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.1% · Q3 0.6% · Q4 1.1% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 24.0% |
18.5%
5.5 pts worse
|
11.4%
12.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 20.9% · Q3 28.9% · Q4 30.8% · 4Q avg 24.0% |
| Percentage of long-stay residents who lose too much weight | 6.1% |
6.1%
About the same
|
5.4%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 7.5% · Q3 7.0% · Q4 4.4% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.9% |
13.5%
6.4 pts worse
|
19.6%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 22.2% · Q3 19.3% · Q4 15.2% · 4Q avg 19.9% |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.1% |
15.1%
6 pts better
|
16.3%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 15.7% · Q3 6.5% · Q4 3.6% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.1% |
15.5%
7.4 pts better
|
14.9%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 6.2% · Q3 6.8% · Q4 6.5% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.6%
About the same
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.4% · Q3 1.2% · Q4 0.7% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
1.4%
0.8 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 0.6% · Q4 0.5% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.6% |
20.8%
0.8 pts worse
|
19.8%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 21.2% · Q3 25.9% · Q4 17.8% · 4Q avg 21.6% |
| Percentage of long-stay residents with pressure ulcers | 10.2% |
6.9%
3.3 pts worse
|
5.1%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 12.4% · Q3 10.9% · Q4 9.3% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 37.9% |
76.7%
38.8 pts worse
|
81.7%
43.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 49.0% · Q3 30.0% · Q4 20.5% · 4Q avg 37.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.6% |
9.7%
1.1 pts better
|
12.0%
3.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.6% · Observed 10.6% · Expected 13.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.4% |
1.2%
1.2 pts worse
|
1.6%
0.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q3 3.8% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 19.6% |
78.8%
59.2 pts worse
|
79.7%
60.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 19.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.0% |
20.6%
5.4 pts worse
|
23.9%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.0% · Observed 36.2% · Expected 33.2% · Used in QM five-star |
Survey summary
Top issue: Environmental (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-10-25
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-10-25
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-10-25
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-12-18
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-12-18
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-11-21
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2021-11-21
Inspection history
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-10-25
Health
Keep all essential equipment working safely.
Corrected 2025-10-25
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-10-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-24
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-24
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-06-24
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-06-24
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-12-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-18
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-12-18
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-01-18
Health
Post nurse staffing information every day.
Corrected 2021-11-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-11-20
Health
Provide and implement an infection prevention and control program.
Corrected 2021-11-20
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2021-11-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-11-20
Health
Provide activities to meet all resident's needs.
Corrected 2021-11-20
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2021-11-20
Penalties and ownership
Fine · fine $9,318
Fine
Fine · fine $3,145
Fine
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
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